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[采用后矢状位肛门直肠成形术对儿童肛门直肠畸形进行根治性手术矫正]

[Radical surgical correction of anorectal anomalies in children by the method of posterior sagittal anorectoplasty].

作者信息

Krivcheny D Iu, Iurchenko N I, Gregul' V V, Soroka V P

出版信息

Khirurgiia (Mosk). 1994 Aug(8):29-31.

PMID:7990316
Abstract

In the period from 1987 to 1991, radical operations by the method of posterior sagittal anorectoplasty were conducted on 29 children with anorectal anomalies, whose ages ranged from zero to 10 years. In this group 12 patients were under the age of six months. The diagnosis was based on the presence of external clinical signs of the anomaly, ultrasonic scanning of the organs of the chest, abdomen, and true pelvis, as well as on the findings of the generally accepted radiological methods. In 23 children the radical operation was preceded by colostomy. Hyperbaric oxygenation was applied in the postoperative period in all patients. The late-term results were studied in 17 patients, they were found to be good in 12 patients and satisfactory in one patient. Mortality was not encountered in this group of patients.

摘要

1987年至1991年期间,对29例年龄在0至10岁的肛门直肠畸形患儿采用后矢状位肛门直肠成形术进行了根治性手术。该组中有12例患者年龄在6个月以下。诊断依据是存在畸形的外部临床体征、对胸部、腹部和真骨盆器官进行超声扫描以及采用公认的放射学方法的检查结果。23例患儿在根治性手术前进行了结肠造口术。所有患者术后均采用了高压氧治疗。对17例患者进行了远期结果研究,发现其中12例患者效果良好,1例患者效果满意。该组患者未出现死亡情况。

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